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1730573122
LARA S. WILSON
KANSAS CITY, MO
NPI
1730573122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2008020256)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
Mrs. LARA S. WILSON AGNP-C
6675 HOLMES RD STE 550
KANSAS CITY, MO 64131-1150
Phone number: 816-363-7710
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Mailing Address
Mrs. LARA S. WILSON AGNP-C
6119 RUSSELL ST
MISSION, KS 66202-3220
Phone number: 816-838-1978
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